Provider Information for 1215454145
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EBONY FREEMAN LMFT
Sex: Female
NPI: 1215454145
Last Updated: 2022-04-20
Certification Date: 2022-04-20
Certification Date: 2022-04-20
Details
Name | Value | ||||||||||||
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NPI | 1215454145 | ||||||||||||
Enumeration Date | 2017-08-22 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5121 STOCKDALE HWY STE 150 BAKERSFIELD, CA 93309-2665 United States Phone: 661-868-5062 | Fax: | ||||||||||||
Primary Practice Address | 5121 STOCKDALE HWY STE 150 BAKERSFIELD, CA 93309-2665 United States Phone: 661-868-5062 | Fax: | ||||||||||||
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